Syphilitic uveitis: 3 cases report
10.3969/j.issn.1672-5123.2010.12.004
- VernacularTitle:梅毒性葡萄膜炎3例
- Author:
Shin Wei PAN
;
Nor Sharilla YUSOF
;
Wan Hazabbah Wan HITAM
;
Raja Azmi Mohd NOOR
;
Zunaina EMBONG
- Publication Type:Journal Article
- Keywords:
syphilis;
uveitis;
chorioretinitis;
exudative retinal detachment
- From:
International Eye Science
2010;10(12):2242-2245
- CountryChina
- Language:Chinese
-
Abstract:
·AIM: To evaluate the clinical manifestations and visual outcome of syphilitic uveitis patients. ·METHODS: Case series of three patients with syphilitic uveitis were managed in Hospital USM.·RESULTS: Three patients were diagnosed to have uveitis secondary to syphilis. All three patients were not known to have syphilis prior to presentation but had positive history of sexual promiscuity.Allpatients presented with progressive blurring of vision for average of one-month duration. Two of them had association with fever,ocularpainandfloaters.Visualacuityat presentation ranged from 6/12 to hand movement. Mild anterioruveitis( non-granulomatous),vitritisand papillitis were present in all the patients. First patient had multifocal chorioretinitis with exudative retinal detachment. The second patient presented with exudative retinaldetachmentwhilethethirdpatienthad chorioretinitis only. All the patients were treated with intramuscular benzyl-penicillin 2.4 MU weekly for 4 weeks and two of them received oral doxycycline 200mg twice daily for 3 months. The uveitis responded well to the treatment and two of them showed dramatic visual improvement from 6/120 to 6/21 and 6/12 to 6/6. The one with worse outcome was confirmed to have positive retroviral.·CONCLUSION: Ocular syphilis presented here as non granulomatous inflammation associated with exudative retinal detachment, Final visual outcome is generally good despite slow improvement after treatment.
